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Related Experiment Videos

Phantom urinary bladder pain--case report.

Steven F Brena1, Edward E Sammons

  • 1Emory University Pain Control Center, Center of Rehabilitation Medicine, 1441 Clifton Road, N.E., Atlanta, Ga. 30322, U.S.A.

Pain
|October 1, 1979
PubMed
Summary

Phantom urinary phenomena, a rare condition, can cause significant bladder pain post-cystectomy. A comprehensive pain control program, including nerve stimulation and coping strategies, effectively reduced phantom bladder pain by 75%.

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Area of Science:

  • Urology
  • Pain Management
  • Nephrology

Background:

  • Phantom urinary phenomena are rare, with few documented cases following cystectomy, spinal cord injury, or hemodialysis.
  • Chronic kidney and urinary tract infections can necessitate cystectomy, potentially leading to complex post-surgical complications.

Observation:

  • This report details a patient experiencing painful phantom bladder sensations after cystectomy for chronic kidney and urinary tract infection.
  • The patient presented with a subjective experience of phantom bladder pain, a condition lacking standard treatment protocols.

Findings:

  • A multimodal pain management approach was implemented, focusing on sensory hyperstimulation to suppress phantom sensations.
  • Treatments included lumbar sympathetic blocks, transcutaneous electrical stimulation, relaxation training, and assertiveness training.
  • The patient reported an excellent response, achieving an estimated 75% reduction in painful phantom perceptions.

Implications:

  • This case highlights the efficacy of a comprehensive pain control program for managing rare phantom urinary phenomena post-cystectomy.
  • The findings suggest that integrating nerve stimulation techniques with psychological coping strategies can offer a viable solution for intractable phantom bladder pain.
  • Further research into non-standardized treatment modalities for phantom urinary phenomena is warranted to improve patient outcomes.

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